Individual provider Active NPI

Steven R. Jones, D.P.M.

  • Podiatrist
  • Holladay, UT
National Provider Identifier
1245256973
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
103418-0501 Issued in UT
Practice address
2361 Murray Holladay Rd
Holladay, UT 84117-4512
Phone
(801) 277-8512
Fax
(801) 277-8562
NPI assigned
Jul 14, 2006
Last updated
Aug 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 103418-0501 UT Primary

Addresses

Primary practice location

2361 Murray Holladay Rd
Holladay, UT 84117-4512

Mailing address

2361 Murray Holladay Rd
Holladay, UT 84117-4512
Phone (801) 277-8512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040105000129 UT Practitioner - Podiatry 4587563077 Practice locations: Salt Lake City, UT

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2361 E Murray Holladay Rd
Salt Lake City, UT 84117-4512
Phone (801) 277-8512

2361 Murry Halladay Rd
Salt Lake City, UT 84117-4512

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue48
Removal of nail tissue696
Removal or shaving of skin growth183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1245256973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 MURRAY HOLLADAY RD",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174512",
            "telephone_number": "801-277-8512",
            "fax_number": "801-277-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 MURRAY HOLLADAY RD",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174512",
            "telephone_number": "801-277-8512",
            "fax_number": "801-277-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "STEVEN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "103418-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

Verify at the official NPI Registry.